Have sold all public hospitals and claimed to rebuild now in medical reform of Suqian of Jiangsu
At advancing the meeting in hygiene industry reform and development held in Suqian of Jiangsu recently, the secretary of Municipal Committee of the CPC Rayleigh Miao says: "Suqian will built the public hospital of a third grade first,etc.. " This means, changed system into all public hospitals Suqian of the private hospital that year, there is a new thinking. Turning over the sesame seed cake, going the road back in medical reform of Suqian? Why build the public hospital again? Like changing publically privately originally, rebuilding the idea of the public hospital causes and discusses one after another. 2/3 public hospital send out salary, make a change private " force into come out " In 2000, Suqian began the hygiene reform in order to sell the public hospital. 2003, this city most large public the intersection of hospital and the People's Hospital, city of Suqian, become behind the private hospital, Suqian becomes the only prefecture-level city that is all the private medical organization of the whole country. Speaking of the original reform, chief of Suqian Municipal Health Bureau Ge ZhiJian shows reporter a situation report-back of the health care reform and development of this market: "In 2000, Suqian can use the financial resources of 680 million yuan, finance supported 110,000 people, was in arrears with salary phenomena of the teacher, civil servant and generally exist. Government's financial resources mainly protect and open, protect and have a meal, assuare the government operates, it is unable to invest the social cause, most circumstances that health clinics in towns and townships in. There is assets total value of 495 million yuan of health care in the whole city, hygiene assets of per person are 99.1 yuan, 33% of less than the whole province. A thousand people have berths to count 1.06, it is 43.1% of the average level in the whole province. " Meanwhile, the circumstances of the hospital are very difficult too. Ge ZhiJian says, Suqian Municipal Health Bureau has made investigation, before reforming system, the operation of hospital of 2/3 of the whole city is difficult, at salaries to workers take place, and large hospital crowded to capacity, result in, see the doctor difficult. Ge ZhiJian says, the issue at that time of Suqian came from the imbalance of supply and demand. The medical resources in Suqian are scarce seriously, the difficult problem of solving ordinary people to seek medical advice, will increase the medical resource supplier's ability soon. So Suqian overall thinking of medical reform, every civilian need and social capital like, do, have enthusiasm have the ability, be, try hard to let the social capital done, realize that does medicine to invest the subject pluralism. In 1999, the curtain that Shu open county had under its command in Suqian opened the medical reform, the leading policy was to " in charge of doing separating, medicine to prevent setting up separately, medicine from defending and dividing schemes " . In 2000, Suqian issued " welcomed all kinds of social capital investment to do medicine " Policy. In April of 2006, the health care of China Center for Economic Research of Peking University reformed the seminar and improved the conduct to survey and study medicine of Suqian, Li Ling, person in charge of seminar, thinks, because characteristics such as monopoly and high unsymmetry of the information of the medical trade,etc., the marketization taking profit as direction must lead to the fact the medical price rises violently all the way. And post-doctor, Public Managerial College of Tsing-Hua University, phoenix Wei think " compared with surrounding area Suqian spring, its price is still lower, this respect perhaps because the economy of Suqian is relatively backward, on the other hand compete for to make it unable to raise the price a lot. " As to completely different finding, Suqian it is " very much light to make " for city to say . Ge ZhiJian has listed a group of data, in order to prove the medical reform of Suqian these years, more than 5 million ordinary people have all received material benefit during the reform: 1999 (before medical reform) ,The assets total value of the hygiene of Suqian is 495 million yuan, 2010 (after medical reform) It is 4,186 million yuan, increase by more than 7 times, is far higher than the medical resource increasing degree of Jiangsu Provinces; In 1999, the input to the hygiene of the finance of Suqian was 32 million yuan, it will be 316 million yuan in 2010, increased by 8 times, and the input increasing degree to the hygiene of the whole provincial finance of Jiangsu is 2.4 times; Average level that the growth that other such as hygiene total personnel, sick bed count is higher than the whole province of Jiangsu and Su Bei by five cities, and clinic per capita expenses, daily average expenses per bed, increasing degree of leaving hospital 3 indexes of average expenses of the patient are all lower than the increasing degree in the whole province. Build public hospital, strong in saying, analyze through surveying and studying for solve high-quality medical will Ge, shortage of resource, the demands of ordinary people have changed, it is the total amount question before 2000, it is insufficient to supply, it is a quality problem now, high-quality resources are insufficient. In the following 5 years, working thinking of hygiene and policies and measures of Suqian have already been adjusted, expand and transfers main stage to and relies mainly on the fact that quality is promoted progressively by the total amount, the total amount is expanded in order to complement, " from taking a fancy to a doctor to take a fancy to the good doctor " . This may be exactly original intention that Suqian plan to set up the public hospital of the first, second and third - -After have basically solved this difficult difficult problem of seeing the doctor, with the deepening of the reform, the same as other places of the whole country in Suqian, high-quality medical resources are still rare. Ge ZhiJian has described the blueprint outline of this hospital to the reporter: This is a public hospitals of new tertiary first grade incorporated medical treatment, scientific research, teaching into an organic whole. "What is called new, it is brand-new on the system, will set up modern hospital system, corporate governance structure, the responsibility system of the president that implements under council's leadership, all medical workers recruit from society publicly, examine the performance. " In Ge ZhiJian's description, this public hospital is still the teaching and research centre of a medicine. "Suqian needs improving and doing and curing the level after basically solving the difficult problem of seeing the doctor, and this needs the tap to drive. Our goal is to do a medical treatment, teaching, research center at city level, strengthen the guidance of the hygiene industry at the basic level, serve, train talents as the counties, townships, develop the activity of medical scientific research, solve serious disease and difficult and complicated cases and treat the problem. " However, the establishment of this tertiary first rate hospital put into by the government, let a lot of private hospitals feel that there is a pressure very much. "Is this a kind of introspection to reforming before this in Suqian, will buy back the private hospital after Suqian? " The Chairman who has the hospital at county level tells such puzzlement to the reporter. The Chairman of another second hospital has other worry: "The medical organization of Suqian has been already fierce in competition during these years, everybody is buying the advanced instrument, having owed much debt, if tertiary first grade public hospital appears, these apparatuses of ours and technology will seem to fall behind very much, much investment may be spent in vain. " In order to dispel the worry of the private medical organization, Suqian has convened all counties (district) Secretary, county (district) It is long, is in charge of one pair of counties (district) The long, secretary of villages and towns, all private Chairmans of medical organization amount to more than 860 people, advance the meeting after holding hygiene industry reform and development. At the meeting, the secretary of Municipal Committee of the CPC Rayleigh Miao says: "The other places implement buy-back to some private hospitals, so someone afraid whether our medical reform should go the road backs, I can certainly tell you, the medical reform of Suqian does not go the road back, does not turn over the sesame seed cake, it is rolled over that non- blind Rise, the hospital that has reformed system does not retract, continue encouraging and supporting the social capital to do medical treatment, and the government should increase input. " Explore that solved how the public finance throws into private hospital difficult problem Suqian and issue? Shake the first � subcutaneous ulcer of mediocre � Poor benevolence stool of gold-plating Pei? Try) >>,Have already implemented from August 1 formally. The basic medicine system already implemented in other places of the whole country, to Suqian, it has been an institutional question all the time. "The hospital of Suqian is all private, the condition implementing basic medicine system does not exist. " This question has been perplexing Suqian all the time. From <
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